2016 Dean Stetson Service Award

Nomination Form

Dean Stetson Service Award Criteria

This award is presented to an individual in recognition of long-term service to students (ten years or greater) and an outstanding contribution to the development of excellence in student services within the province of Alberta. Nominees will have demonstrated exceptional service to students (totaling ten or more years) and significant achievement in one or more of the following areas:

■ Innovation, research, and/or leadership within their institution or the field of student services

■ Enhancement of overall student services culture through exemplary mentorship

■ Continued professional growth and development

Award Selection Process

Applications are evaluated by the Provincial Planning Committee (PPC). The recipient will be selected based on the information contained within this application through a majority vote process. Each Alberta post-secondary institution represented on the Provincial Planning Committee receives one vote. In the case of a tie, the Chair of the PPC will have the deciding vote.

To nominate a deserving colleague for this award, please complete and sign the form below.

Nominee Information:

Name:

Position: Institution:

Telephone: Fax:

Email Address:

I accept the nomination for this award.

Signature of Nominee ______(required) Date ______

Nominator Information:

Name:

Position: Institution:

Telephone: Fax:

Email Address:

Signature of Nominator______Date______

Please use the questions provided in this form when completing your nomination. Only information contained on this application will be considered. All information submitted on behalf of nominees will be held in confidence by the PPC. Award recipients will be announced and presented with their awards at the 2016 Alberta Services for Students Conference.

1.  Please provide the Nominee’s dates and position titles held with Student Services.

2.  In the space provided, please describe how the Nominee regularly demonstrates exceptional service to students. (Limit of 200 words)

3.  In the space provided, please outline how the Nominee has applied leadership, innovation, and/or research to positively impact student services. (Limit of 200 words)

4.  How has the Nominee enhanced the overall student services culture through exemplary mentorship? (Limit of 200 words)

5.  How has the Nominee demonstrated continued professional growth and development within their student services’ role? (Limit of 200 words)

6.  Has the Nominee participated or contributed to previous Alberta Services for Students Conferences? (check all that apply) – Not a requirement for nomination.

Session Presenter

ASSC Delegate

ASSC Provincial Planning Committee Member (current members are not eligible)

ASSC On-Site Planning Committee Member (past or present)

Thank you for completing a nomination for the Dean Stetson Service Award.

Please email the completed nomination form, no later than January 22, 2016 to:

Gordon Pellerin or Shawnna Boyd, 2016 ASSC On-Site Planning Committee Co-Chairs

Email:

Prior to the 2016 ASSC, you will be notified via email whether your Nominee is the successful recipient of this award. The onus for ensuring that the award recipients are in attendance at the Awards Banquet is left to the nominator(s).